Long Term Disability Claims Specialist I

About the role

The Long-Term Disability Claims Specialist I evaluates long term disability claims, gathers and analyzes medical, occupational, financial, and other relevant information to support sound claim decisions. They oversee an assigned caseload of pending and active disability claims, manage communication with claimants, and coordinate with internal and external resources.

Responsibilities

• Lead thorough and balanced disability claim evaluations by gathering, reviewing, and interpreting medical, occupational, financial, and other relevant information to support sound claim decisions.
• Create clear, accurate, and timely claim documentation, correspondence, and recommended decisions that align with plan provisions, service expectations, and regulatory requirements.
• Oversee an assigned caseload of pending and active disability claims, ensuring timely follow-up, consistent progress, and effective management of priorities in a fast-paced environment.
• Manage proactive communication with claimants, representatives, customers, attorneys, brokers, and family members by providing updates, explaining claim decisions, and gathering critical claim information.
• Develop action plans, identify return-to-work potential, and address inconsistencies or escalated issues by applying critical thinking and appropriate claim resolution strategies.
• Cook up with internal and external resources, including physicians, attorneys, and clinical or vocational consultants, to obtain information needed for thorough, reasonable, and well-supported claim decisions.

Requirements

• A high school diploma and the ability to work within a commutable distance of the posted site to support effective onboarding, training, and role readiness.
• Customer service and claim support experience with the ability to gather information, communicate clearly, and help drive timely, informed disability claim decisions.
• Critical thinking, analysis, investigation, and problem-solving skills with a disciplined, organized work style to assess claim details, prioritize caseloads, and develop appropriate next steps.
• Strong interpersonal, written, and verbal communication skills paired with a customer-focused, proactive, and collaborative approach to working with claimants, partners, and internal stakeholders.

Preferred Qualifications

• A bachelor’s degree.
• Experience in disability claims.

Pay

The expected salary range for this position is $41,600 - $60,500. This role may also be eligible for annual short-term incentive compensation and stock-based long-term incentives. All incentives and benefits are subject to the applicable plan terms.

Schedule

This role may have a flexible schedule to accommodate the needs of the position and the business.